5 Peptic Ulcer Disease Nursing Care Plans

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Peptic ulcer is an ulceration in the mucosal wall of the lower esophagus, stomach, pylorus, or duodenum. The ulcer may be referred to as duodenal, gastric, or esophageal, depending on its location. The most common symptom of both gastric and duodenal ulcers is epigastric pain. It is characterized by a burning sensation and usually occurs shortly after meals with gastric ulcer and 2-3 hours afterward with duodenal ulcer.

Predisposing factors of peptic ulcer includes infection with the gram-negative bacteria Helicobacter pylori which may be acquired through the ingestion of food and water, excessive HCL secretion in the stomach, chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) which weakens the lining of the GI tract by reducing the protective function of the mucosal layer, increased stress associated with illness and surgery, alcohol ingestion and excessive cigarette smoking.

Nursing Care Plans

The nursing goals of a client with a peptic ulcer disease include reducing or eliminating contributing factors, promoting comfort measures, promoting optimal nutrition, decreasing anxiety with increased knowledge of disease, management, and prevention of ulcer recurrence and preventing complications

Here are five (5) nursing care plans (NCP) and nursing diagnosis for patients with peptic ulcer disease:

  1. Acute Pain
  2. Imbalanced Nutrition: Less Than Body Requirements
  3. Anxiety
  4. Deficient Knowledge
  5. Risk For Deficient Fluid Volume
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Deficient Knowledge

Nursing Diagnosis

May be related to

  • Lack of recall of previously learned information
  • New condition, treatment
  • Recurrent episodes of GI bleeding
  • Recurrent peptic ulcer disease

Possibly evidenced by

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  • Incorrect responses to questions about peptic ulcer disease
  • Inaccurate follow-through with treatment regimen and lifestyle modifications
  • Lack of questions
  • Multiple questions

Desired Outcomes

  • Client will verbalize understanding of the importance of compliance with medical regimen, knowledge of peptic ulcer disease, and commitment to self-care management.
Nursing Interventions Rationale
Assess the client’s knowledge and misconceptions regarding peptic ulcer disease, lifestyle behaviors, and the treatment regimen. Clients may have inaccurate information about how lifestyle behaviors contribute to peptic ulcer disease. The client needs accurate knowledge to make informed decisions about taking prescribed medications and modifying behaviors that contribute to peptic ulcer disease or GI bleeding.
Explain the pathophysiology of disease and how it relates to the functioning of the body. An understanding of the disease process helps to foster the willingness to follow the recommended treatment plan and modify behaviors to prevent recurrent episodes or related complications.
Instruct the client in what signs and symptoms to report to the health care provider. Recognizing the signs and symptoms can help ensure the early initiation of treatment.
Discuss the therapy options and the rationales for using these options. The correct use of antibiotics and acid suppression medications can promote rapid healing of an ulcer.
Discuss the lifestyle changes required to prevent further complications or episodes of peptic ulcer disease. The modifications of lifestyle behaviors such as alcohol use, coffee, and other caffeinated beverages, and the overuse of aspirin or other nonsteroidal anti-inflammatory drugs is necessary to prevent recurrent ulcer development and prevent complications during the healing phase.
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See Also

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Gastrointestinal Care Plans

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Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.

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